Abstract:
OBJECTIVES:Given the burden of multiple chronic conditions (MCCs) in the Veterans Affairs (VA) Health Care System, understanding perspectives of Veterans with MCC is essential to evaluate chronic care and ensure that care and quality improvement efforts align with patient needs. The purpose of this study was to use the Patient Assessment of Chronic Illness Care (PACIC) instrument to examine perceptions of chronic care among Veterans with MCC. METHODS:We conducted a nation-wide, cross-sectional mailed survey. Study inclusion criteria were Veteran patients with MCC who receive care from eight VA facilities. The survey included questions on patient demographics, recent hospital or doctor visits, and the PACIC instrument. Chronic condition and health care utilization data were extracted from VA administrative databases. RESULTS:The sample (n = 3,519) was mostly male; average age was 68.1 years. Mean PACIC summary score was 3.05 (standard deviation [SD] = 1.12). Respondents achieved higher scores (favorable perceptions) in the Delivery System Design and Patient Activation subscales, and lowest scores (unfavorable perceptions) in the Follow-up/Coordination subscale. Characteristics associated with higher scores included non-white race, recent VA doctor visit, and high school or less education. CONCLUSIONS:Perceptions of chronic care were high; however, quality improvements are needed to enhance care continuity and coordination.
journal_name
Mil Medjournal_title
Military medicineauthors
Balbale SN,Etingen B,Malhiot A,Miskevics S,LaVela SLdoi
10.7205/MILMED-D-15-00207subject
Has Abstractpub_date
2016-05-01 00:00:00pages
439-44issue
5eissn
0026-4075issn
1930-613Xjournal_volume
181pub_type
杂志文章abstract::Gastric involvement in Hodgkin's disease is rare. A case of gastric Hodgkin's disease occurring after autologous bone marrow transplantation is presented. A retrospective review of 339 cases of Hodgkin's disease in the Tumor Registry at Brooke Army Medical Center revealed six additional cases of documented gastric inv...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-11-01 00:00:00
abstract:BACKGROUND:Cervical radiculopathy is a common disorder that portends significant morbidity. The presence of radiculopathy can have a debilitating effect on patients as well as a significant economic impact. Active duty military patients with increased physical occupational demands can be significantly impacted by cervi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00085
更新日期:2017-03-01 00:00:00
abstract::I visited Afghanistan during the recent conflict. The conditions were primitive, and all patients with major injuries died in the field. Those who could make the 2 to 3 week trip over the mountains to Pakistan received only basic medical care at best. Without air superiority and helicopter evacuation, this could be th...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract::During Operation Desert Storm, in February 1991, Iraqi troops began burning Kuwaiti oil wells. Almost immediately there was concern about possible adverse health effects in U.S. personnel exposed to crude oil combustion products. Combustions products were predicted from the known composition of Kuwaiti crude oil. Moni...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00079
更新日期:2011-07-01 00:00:00
abstract::The results from a study undertaken to assess the smoking behavior of Greek warship personnel found that of the 274 participants, ages 19 to 38 years, 59.5% were current smokers who started the habit between the ages of 15 and 21 years. However, 33.1% of these current smokers started smoking after entering the Greek N...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::This study was designed to provide information to assist in planning health promotion and wellness programs for military trainees. During their first semester at West Point, 179 cadets completed measures of holistic wellness, perceived stress, and mattering. The highest wellness scores were in areas of social support,...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.6.475
更新日期:2004-06-01 00:00:00
abstract:INTRODUCTION:Military personnel during training and military operations are exposed to a large number of repeated exposures to low-level blast overpressure from a variety of sources. These exposures rarely produce a concussion, but anecdotal evidence from soldiers indicates that it can still cause transient neurologica...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa423
更新日期:2021-01-25 00:00:00
abstract:BACKGROUND:Bone and soft-tissue loss are common extremity injuries sustained in current military conflicts. Selected host national patients had their definitive orthopedic care performed at our combat support hospital. Soft-tissue reconstruction can be a challenging task in this environment. There are several situation...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2009-08-01 00:00:00
abstract::Since opening the Air Force's first in-hospital birth center, the United States Air Force Academy Hospital has followed a policy of 24-hour discharge of mothers and babies--a major paradigm shift in traditional military treatment facility practice. This study was conducted to evaluate this change. Records were reviewe...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:Cervical spine clearance requires clinicians to assess the reliability of physical examination based on a patient's mental status and distracting injuries. Distracting injuries have never been clearly defined in military casualties. METHODS:Retrospective review was conducted of patients entered into Departm...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00635
更新日期:2015-07-01 00:00:00
abstract::The planning and execution for contingency pharmacy services in support of Operations Desert Shield/Desert Storm in an overseas Air Force Medical Center are described. These operations presented the staff with far different challenges than the contingency support plan that had been in place for several years. That pla...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::Beginning in 1991, case reports of coccidioidomycosis in California increased dramatically, pursuant to a variety of natural and demographic factors. This highly infectious fungal disease with propensity to disseminate widely, mimic other conditions, and cause pathology at locations distant in place and time is readil...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
abstract::This cross-sectional telephone survey study assessed prevalence rates of current chemical sensitivity, frequency of chemical odor intolerance, and self-reported Persian Gulf chemical exposures among 41 randomly sampled Department of Veterans Affairs outpatients who were Persian Gulf War (PGW) and PGW-era veterans. The...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract:INTRODUCTION:The purpose of our study is to compare pectoralis major tears in active duty military personal repaired surgically in the forward deployed setting to those performed in the Continental United States. MATERIALS AND METHODS:Retrospective comparison of all pectoralis major tendon repairs performed at Madigan...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz068
更新日期:2019-12-01 00:00:00
abstract:INTRODUCTION:Gathering end-user feedback about candidate technologies in the operational environment prior to fielding helps to ensure that far-forward medical teams receive the most suitable technology. It is therefore a crucial step in the defense medical acquisition process. The current article reviews the methodolo...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa069
更新日期:2020-09-18 00:00:00
abstract::We studied the epidemiology, morbidity, and etiology of dermatologic and non-human immunodeficiency virus venereologic disease (Derm/STD) aboard a deployed aircraft carrier to revise Derm/STD training objectives for shipboard primary care providers. Onboard supplies for treatment of Derm/STD were also evaluated. Over ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:Planning of dental support for populations serving in isolation is essential. Many programs of national or scientific interest such as U.S. Navy submarine missions, the manned space program, and research in Antarctica require long periods where dental care is not available. Submariners make an excellent stud...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.supplement_1.29
更新日期:2008-01-01 00:00:00
abstract::Disseminated fungal infections are normally opportunistic infections in the immunocompromised population. Current literature has documented a high mortality rate with these infections in civilian trauma or as complications of severe burns. There is only one published case of fungal infection in a combat-injured indivi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00322
更新日期:2013-04-01 00:00:00
abstract:INTRODUCTION:Military Service Members (SMs) with upper limb (UL) amputation have unrestricted access to occupational therapy (OT) services. Identifying OT interventions used based on clinical rationale and patient needs can provide insight toward developing best practice guidelines. The purpose of this retrospective ob...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz341
更新日期:2020-03-02 00:00:00
abstract::The Israel Defense Forces Medical Corps operates a health network for Israel Defense Forces soldiers. Secondary medicine is included in the services to which soldiers are entitled. It is provided to military personnel through two parallel systems: within the Medical Corps specialists' clinics and through the auspices ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-04-01 00:00:00
abstract:Introduction:Smallpox, or vaccinia, has been eradicated worldwide as a disease; however, it may be weaponized and is thus a required immunization when military members deploy to certain parts of the world. Materials and Methods:We report two unusual cases of genital autoinoculation following smallpox vaccination. Res...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx089
更新日期:2018-05-01 00:00:00
abstract::This study examined predictors of smoking relapse in the year after the mandatory smoking ban during basic military training (BMT) in the U.S. Air Force. Participants were all smokers who completed BMT from August 1995 to August 1996 and relapsed to smoking in the subsequent year (N = 4,303). Results demonstrated that...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:For more than a decade, primary care residency training programs have struggled to attract graduates of U.S. medical schools. Internal medicine (IM) interest groups (IMIGs) have been widely instituted to foster student interest in careers in IM. Residents can participate in many IMIG activities. Studies have...
journal_title:Military medicine
pub_type: 杂志文章,多中心研究
doi:10.7205/milmed.172.2.210
更新日期:2007-02-01 00:00:00
abstract::The Farnsworth Lantern (FALANT) is the definitive color vision test for the Navy, Marine Corps, and Coast Guard. It is also the definitive color vision test for aviation personnel in the Army. Results from it are also accepted by the Federal Aviation Administration. For various reasons, it is desirable to have an alte...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract::Adherence to the Maximal Allowable Weight (MAW) standards established by regulation can be difficult for many active duty personnel. We have discovered some members of this group utilizing the potentially dangerous rapid weight loss methods that are commonly seen in patients with bulimia and anorexia nervosa. Two case...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-12-01 00:00:00
abstract:OBJECTIVES:To determine the outcomes scores of military patients who initially present with a variety of shoulder conditions, identify which scores demonstrate the highest correlation per diagnosis, and determine if a difference exists for patients who went onto surgery. METHODS:Two-hundred and seventy five consecutiv...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00234
更新日期:2012-08-01 00:00:00
abstract::Little attention is given in psychiatry residency programs to preparing graduates to occupy division psychiatry slots. The first part of this paper discusses several guidelines: preparations to make before leaving for a new post; immediate steps to take upon arrival; the place of the Division Mental Health Service in ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract:Introduction:The education of health professionals and the assessment of their long-term goals are essential. Additionally, in the military health system (MHS), such programs also have the goals of improving readiness, providing high-quality care and meeting the needs and challenges of the MHS. The Uniformed Services U...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy158
更新日期:2019-01-01 00:00:00
abstract::Over the last decade, demand for services from military treatment facilities (MTFs) has frequently exceeded capacity resulting in increased usage of off-base civilian Tricare providers (OCTP). This capacity shortage has been particularly acute for mental health care. At many installations, OCTPs are the main source of...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00229
更新日期:2015-09-01 00:00:00
abstract::Confederate Lieutenant General Thomas J. "Stonewall" Jackson was wounded by his own men at the Battle of Chancellorsville during the American Civil War. While being removed from the field, Jackson fell from the litter and struck the right side of his chest on a large stone or stump. Four days following the amputation ...
journal_title:Military medicine
pub_type: 传,历史文章,杂志文章
doi:10.7205/milmed-d-11-00272
更新日期:2012-03-01 00:00:00